| NPI | 1689218513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5250) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3244) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-11-01 |